Nebraska budgeted $8.2 million for contractors to comply with Medicaid changes under President Donald Trump’s One Big Beautiful Bill Act. Health clinics and organizations advocating for poor and working-class Nebraskans say the rollout of Medicaid work requirements has been rife with problems.

Chalandria James, a community healthcare worker and doula, said some of her clients don’t even bother applying for Medicaid anymore. “The changes, they’ve been really confusing for everyone,” James said. James said confusion around whether or not her patients are eligible under new regulation passed last year through…

Much of the $218 million Nebraska has received to soften the blow of looming Medicaid cuts has gone to big cities and out-of-state contractors. DHHS leaders argue more money will make its way to rural areas.